Case records of the Massachusetts General Hospital. Case 35-2014: a 31-year-old woman with fevers, chest pain, and a history of HCV infection and substance-use disorder

N Engl J Med. 2014 Nov 13;371(20):1918-26. doi: 10.1056/NEJMcpc1407131.

Abstract

A 31-year-old woman with substance-use disorder was admitted to this hospital because of fevers and chest pain. CT of the chest revealed multiple thick-walled nodular opacities throughout both lungs. Diagnostic tests were performed, and management decisions were made.

Publication types

  • Case Reports
  • Clinical Conference

MeSH terms

  • Adult
  • Chest Pain / etiology
  • Diagnosis, Differential
  • Dyspnea / etiology
  • Echocardiography, Doppler, Color
  • Echocardiography, Transesophageal
  • Endocarditis, Bacterial / complications
  • Endocarditis, Bacterial / diagnostic imaging*
  • Female
  • Fever / etiology
  • Heart Valve Diseases / complications
  • Heart Valve Diseases / diagnostic imaging*
  • Hepatitis C / complications
  • Heroin Dependence / complications*
  • Heroin Dependence / drug therapy
  • Heroin Dependence / rehabilitation
  • Humans
  • Lung / diagnostic imaging
  • Lung / pathology
  • Physician-Patient Relations
  • Pulmonary Embolism / diagnosis
  • Radiography
  • Substance Abuse, Intravenous / complications*
  • Substance Abuse, Intravenous / rehabilitation
  • Tricuspid Valve / diagnostic imaging*